TUTORIAL Abdominal pain Flashcards
When taking a history from a patient presenting with abdominal pain, what 8 salient points about the pain will help you make the correct diagnosis?
site
onset
character
radiation
associations
timecourse
exacerbating and relieving factors
severity
Which intra- abdominal organs are found in the right hypochondriac region?
- Gallbladder & liver
Which intra- abdominal organs are found in the epigastric region?
Stomach, duodenum & pancreas
Which intra- abdominal organs are found in the left hypochondriac region?
Pancreas and spleen
Which intra- abdominal organs are found in the right lumbar region?
Kidney
Which intra- abdominal organs are found in the umbilical region?
Small bowel
Which intra- abdominal organs are found in the left lumbar region ?
Kidney
Which intra- abdominal organs are found in the right iliac region?
Appendix & caecum
Which intra- abdominal organs are found in the hypogastric region?
Bladder, uterus & “adnexa” refers to the ovaries, fallopian tubes and ligaments that secure the female reproductive organs
Which intra- abdominal organs are found in the left iliac region?
Sigmoid colon
What are the 3 divisions of the GI tract?
Foregut:
distal end of the esophagus, the stomach, and a portion of the duodenum. In addition, the pancreas, liver, and gallbladder form embryologically from the foregut
Midgut:
duodenum distal to the ampulla of Vater, the jejunum, ileum, cecum, ascending colon, and foremost two-thirds of the transverse colon
Hindgut:
The hindgut consists of the distal half of the transverse colon, descending colon, sigmoid colon, and the proximal third of the rectum.
What is the blood supply of the 3 divisions of the GI tract?
Foregut- coeliac trunk
Midgut- superior mesenteric artery
Hindgut- inferior mesenteric artery
What is the character of pain you’d expect in a ureter/ stone issue?
Colicky
What is the character of pain you’d expect in a liver issue?
Constant
What is the character of pain you’d expect in a gallstone issue?
colicky
